| Brand Name | RD SET NEOPT CS-2 ADH SENSOR |
| Common Device Name | OXIMETER |
| Manufacturer (Section D) |
| MASIMO - 15750 ALTON PKWY |
| 15750 alton pkwy |
| irvine CA 92618 |
|
| Manufacturer (Section G) |
| MASIMO - MEXICALI |
| industrial vallera de mexicali calzada del oro, no.2001 |
|
| mexicali, baja california 21600 |
|
MX
21600
|
|
| Manufacturer Contact |
|
rishi
jain
|
| 15750 alton pkwy |
| irvine, CA 92618
|
|
| MDR Report Key | 24397390 |
| Report Number | 3019388613-2026-00052 |
| Device Sequence Number | 8253734 |
| Product Code |
DQA
|
| UDI-Device Identifier | 10843997013304 |
| UDI-Public | (01)10843997013304(17)271101(10)24MW4 |
| Combination Product (Y/N) | N |
| Initial Reporter Country | FR |
| PMA/510(K) Number | K101896 |
| Number of Events Summarized | 1 |
| Summary Report (Y/N) | N |
| Reporter Type |
Manufacturer
|
| Report Source |
Foreign,Health Professional,User Facility |
| Initial Reporter Occupation |
Other Health Care Professional
|
| Remedial Action |
Other |
| Type of Report
| Initial |
| Report Date (Section B) |
01/27/2026 |
| 1 Device was Involved in the Event |
|
| 1 Patient was Involved in the Event |
|
| Is this an Adverse Event Report? |
No
|
| Is this a Product Problem Report? |
Yes
|
| Operator of Device |
Health Professional
|
| Device Model Number | 4474 |
| Device Lot Number | 24MW4 |
| Was Device Available for Evaluation? |
No
|
| Is the Reporter a Health Professional? |
Yes
|
| Was the Report Sent to FDA? |
No
|
| Type of Report(Section G) | Thirty-Day |
| Initial Date Received by Manufacturer | 01/27/2026 |
| Initial Report FDA Received Date | 02/19/2026 |
| Was Device Evaluated by Manufacturer? (Y/N) |
Device Not Returned to Manufacturer
|
| Date Device Manufactured | 11/23/2024 |
| Is the Device Labeled for Single Use? (Y/N) |
Yes
|
Is This a Single-Use Device that was Reprocessed and Reused on a Patient? (Y/N) |
No
|
| Usage of Device |
Unknown
|
| Patient Sequence Number | 1 |
Concomitant Medical Products and Therapy/Usage Dates | PN 100293.; PN 4474 LOT 25DX2, PN 4473.; PN 4551 LOT 25E69. |
| Patient Sex | Unknown |
| Patient Weight | 1 KG |